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Individual
SAM MCKELVEY
Active
Individual
SAM MCKELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5709
SC
225100000X
Physical Therapist
Primary
9151
NC
Other
Enumeration date
04/19/2006
Last updated
05/30/2008
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